Saturday, February 4, 2012

Before You See A Southern California Chiropractor READ THIS!

Frequently Asked Questions About 
Chiropractic Care And Salse Chiropractic Center
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Q: How do I know if I need chiropractic care?
 A: We offer a free initial consultation to find out if chiropractic care is appropriate for you. We don’t want to waste your time or money.  If we accept you as a patient, it means there is a very good chance we can help you.  If not, we will help you find a qualified referral.

Q: What about my insurance?
A:
 We accept most insurances including HMO/PPO, auto insurance Med Pay, and Medi-care. If we are not on your insurance list, chances are we are still in your network. Our office will verify coverage to determine your benefits at no charge to you.

Q: How can I afford it?
A: For our chiropractic patients: We've never turned away a patient because of money, but we have turned them away if they were not committed to their health. If you desire to be seen in this office, most of the time we can work with your finances and still stay in “fair exchange”.

Q: What other treatment do you offer? A:
 Our goal is to provide our patients with the best natural healing available through chiropractic care. We also offer massage therapy and acupuncture.   When the need arises, we are fortunate to affiliate with a local surgery center and a group of highly skilled doctors available for our patients. We refer for pain management, orthopedics, neurology, podiatry, and internal medicine. We also have in-house NCV/EMG testing, bone density scanning, and x-ray. When necessary, medical doctor we affiliate with perform coloscopy, endoscopy, orthopedic surgery, neurosurgery, and a number of other procedures.

Q: Do you offer transportation? A: For special procedures such as colonoscopy, pain management and plastic surgery, the surgery center provides a stretch limosine is available free of charge.

Q: Does Dr. Salse twist the neck and make rough adjustments?
A:
 No!!! - The Activator, Gonstead, Thompson, Diversified and upper cervical methods are very gentle and specific as practiced in our office.

Q: Honestly, will it really help? 
A: Only a trial period of care will determine if you will respond but in most cases, patients experience positive results no matter their age or level of infirmity. Many patients come to us when traditional medicine has failed them.  If you have given up and feel there is no hope, DON'T GIVE UP and give us a call.  See our success stories. 

 Q: I heard that if you start you have to keep going?
A:Those that “keep going” do so for the same reason they “keep going” to the dentist – for their best health. Most regular Chiropractic patients feel better report to us that don’t get sick as often.  Many celebrities and professional athletes receive wellness care through chiropractic for optimum health.  Shouldn’t you do the same?

Q: Does it hurt?
A: Adjustments should not hurt. However, there could occasionally be some mild discomfort.

Q: Can it help my other conditions (other than neck or back pain)?

A: Most patients obtain more relief than expected as the body heals all over, not just the area of complaint.

Q: My M.D. said Chiropractic would hurt me and is not appropriate.
A: The best judge of whether Chiropractic might place you at risk is a state licensed Chiropractor. In almost all cases, with careful methods, patients can receive chiropractic care. Our patients range from one to one-hundred and it helps many of them.  We find that there are still those older or uneducated medical doctors that have not been exposed to the latest research on the benefits of chiropractic care.

Q: I get relief sometimes when I “adjust myself”. Do I really need Chiropractic?
A: Most patients are able to generate some noise from stretching joints. Unfortunately, the joints most critical to move for optimal health are rarely the ones patients can move.  If you feel the need to “crack” your neck or back several times a day, be sure to get checked by a chiropractor

Q: Why should I have my kids checked?
A: Birth trauma and the 2000 falls it takes to learn to walk start the spine off on the wrong track… and it grows worse from there. Children respond much faster than adults with Chiropractic care. We highly recommend all children be checked.  In our office, children of all ages are welcome.

Q: What if I am already injured and too weak. How can I be helped? A: Dr. Salse has experience with thousands of patients, many who started off in very poor condition. It may require special care, but most patients can be helped with corrective chiropractic. Visit our testimonials page.

Q: I’m pregnant, can I be helped? 
A: Yes. Dr. has experience with hundreds of women who were pregnant and adjusted them following delivery. Careful chiropractic care from an experienced doctor can help alleviate the discomfort of pregnancy. Chiropractic offers an alternative to analgesic medication to aid in the discomfort of pregnancy.  

More from the American Chiropractic Association:

What conditions do chiropractors treat?
Doctors of Chiropractic (DCs) care for patients of all ages, with a variety of health conditions.  DCs are especially well known for their expertise in caring for patients with back pain, neck pain and headaches...particularly with their highly skilled  manipulations or chiropractic adjustments. They also care for patients with a wide range of injuries and disorders of the musculoskeletal system, involving the muscles, ligaments and joints.  These painful conditions often involve or impact the nervous system, which can cause referred pain and dysfunction distant to the region of injury.  The benefits of chiropractic care extend to general health issues, as well, since our body structure affects our overall function. DCs also counsel patients on diet, nutrition, exercise, healthy habits, and occupationaland lifestyle modification.

How do I select a doctor of chiropractic?
One of the best ways to select a doctor of chiropractic (DC) is by getting a referral from a friend, family member, colleague, or another health care provider.

 Does chiropractic treatment require a referral from an MD?
A referral is usually not needed to see a doctor of chiropractic (DC); however, your health plan may have specific referral requirements. You may want to contact your employer’s human resources department—or the insurance plan directly—to find out if there are any referral requirements. Most plans allow you to just call and schedule an appointment with a DC.

Is chiropractic treatment safe?
Chiropractic is widely recognized as one of the safest drug-free, non-invasive therapies available for the treatment of neuromusculoskeletal complaints. Although chiropractic has an excellent safety record, no health treatment is completely free of potential adverse effects. The risks associated with chiropractic, however, are very small. Many patients feel immediate relief following chiropractic treatment, but some may experience mild soreness or aching, just as they do after some forms of exercise. Current literature shows that minor discomfort or soreness following spinal manipulation typically fades within 24 hours.  
Neck pain and some types of headaches are treated through precise cervical manipulation. Cervical manipulation, often called a neck adjustment, works to improve joint mobility in the neck, restoring range of motion and reducing muscle spasm, which helps relieve pressure and tension. Neck manipulation is a remarkably safe procedure. While some reports have associated upper high-velocity neck manipulation with a certain kind of stroke, or vertebral artery dissection, recent evidence suggests that this type of arterial injury often takes place spontaneously, or following everyday activities such as turning the head while driving, swimming, or having a shampoo in a hair salon. Patients with this condition may experience neck pain and headache that leads them to seek professional care—often at the office of a doctor of chiropractic or family physician—but that care is not the cause of the injury. The best evidence indicates that the incidence of artery injuries associated with high-velocity upper neck manipulation is extremely rare – about 1 case in 5.85 million manipulations.
If you are visiting your doctor of chiropractic with upper-neck pain or headache, be very specific about your symptoms. This will help your doctor of chiropractic offer the safest and most effective treatment, even if it involves referral to another health care provider.  
It is important for patients to understand the risks associated with some of the most common treatments for musculoskeletal pain -- prescription and over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDS) -- as these treatments may carry risks significantly greater than those of chiropractic manipulation. According to a study from the American Journal of Gastroenterology, approximately one-third of all hospitalizations and deaths related to gastrointestinal bleeding can be attributed to the use of aspirin or NSAID painkillers like ibuprofen.

Is chiropractic treatment appropriate for children?
Yes, children can benefit from chiropractic care. Children are very physically active and experience many types of falls and blows from activities of daily living as well as from participating in sports. Injuries such as these may cause many symptoms including back and neck pain, stiffness, soreness or discomfort. Chiropractic care is always adapted to the individual patient. It is a highly skilled treatment, and in the case of children, very gentle.

Are chiropractors allowed to practice in hospitals or use medical outpatient facilities?
Chiropractors are being recognized to admit and treat patients in hospitals and to use outpatient clinical facilities (such as labs, x-rays, etc.) for their non-hospitalized patients.  Hospital privileges were first granted in 1983.

Do insurance plans cover chiropractic?
 Yes. Chiropractic care is included in most health insurance plans, including major medical plans, workers’ compensation, Medicare, some Medicaid plans, and Blue Cross Blue Shield plans for federal employees, among others. Chiropractic care is also available to active-duty members of the armed forces at more than 60 military bases and is available to veterans at 36 major veterans medical facilities. 

What type of education and training do chiropractors have?
Doctors of chiropracticare educated as primary-contact health care providers, with an emphasis on diagnosis and treatment of conditions related to the musculoskeletal system (the muscles, ligaments and joints of the spine and extremities) and the nerves that supply them. Educational requirements for doctors of chiropractic are among the most stringent of any of the health care professions.   
 The typical applicant for chiropractic college has already acquired nearly four years of pre-medical undergraduate college education, including courses in biology, inorganic and organic chemistry, physics, psychology and related lab work. Once accepted into an accredited chiropractic college, the requirements become even more demanding — four to five academic years of professional study are the standard. Doctors of chiropractic are educated in orthopedics, neurology, physiology, human anatomy, clinical diagnosis including laboratory procedures, diagnostic imaging, exercise, nutrition rehabilitation and more.
Because chiropractic care includes highly skilled manipulation/adjusting techniques, a significant portion of time is spent in clinical technique training to master these important manipulative procedures.
In total, the chiropractic college curriculum includes a minimum of 4,200 hours of classroom, laboratory and clinical experience. The course of study is approved by an accrediting agency that is fully recognized by the U.S. Department of Education.

How is a chiropractic adjustment performed?
Chiropractic adjustment or manipulation is a manual procedure that utilizes the highly refined skills developed during the doctor of chiropractic’s intensive years of chiropractic education. The chiropractic physician typically uses his or her hands--or an instrument--to manipulate the joints of the body, particularly the spine, in order to restore or enhance joint function. This often helps resolve joint inflammation and reduces the patient's pain. Chiropractic manipulation is a highly controlled procedure that rarely causes discomfort. The chiropractor adapts the procedure to meet the specific needs of each patient. Patients often note positive changes in their symptoms immediately following treatment. 

Is chiropractic treatment ongoing?
The hands-on nature of the chiropractic treatment is essentially what requires patients to visit the chiropractor a number of times. To be treated by a chiropractor, a patient needs to be in his or her office. In contrast, a course of treatment from medical doctors often involves a pre-established plan that is conducted at home (i.e. taking a course of antibiotics once a day for a couple of weeks). A chiropractor may provide acute, chronic, and/or preventive care thus making a certain number of visits sometimes necessary.  Your doctor of chiropractic should tell you the extent of treatment recommended and how long you can expect it to last.

Why is there a popping sound when a joint is adjusted?
Adjustment (or manipulation) of a joint may result in the release of a gas bubble between the joints, which makes a popping sound. The same thing occurs when you “crack” your knuckles. The noise is caused by the change of pressure within the joint, which results in gas bubbles being released. There is usually minimal, if any, discomfort involved. 
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Patients from all over California come in to our Monrovia office.  If you would like to schedule a complimentary, one-on-one consultation with Dr. David Salse, please call 626-256-3422.  Chiropractic may not be appropriate for you, but isn't it worth a chance to find out?